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문동열(DY Moon),김길자(KJ Kim),이재윤(JY Lee),이희동(IS Lee) 대한산부인과학회 1977 Obstetrics & Gynecology Science Vol.20 No.6
1. 1973년 3월부터 1976년 7월까지 본원에서 입원가료받은 임신중독증 환자 204명과 동기간중에 이것이 합병되지 않은 분만예 664예에 대하여 임상적인 고찰을 한바 분만총수에 대한 발생빈도는 자간증이 5.9%, 자간전증이 17.5%였다. 2. 임신중독증은 생식연령의 양단 즉 20세이하와 41세이상에서 발생하기 쉬우며 자간증이 발생하는 평균영령은 26세였다. 3. 계절은 대체로 춘계에 많았고, 특히 자간증에서 현저하였다. 4. 산정관호는 안받은 예가73.6%였다. 5. 입원하는 시기는 대부분이 산전이었으나 산후입원도 15.7%가 되었다. 6. 분만시의 임신주수는 임신중독증이 합병되지 않은 예에서보다 다소 짧았고 자간증의 평균임신기간은 38.5주였다. 7. 제왕절개 및 자궁수축제를 이용한 유도분만은 각각 10.3%, 8.3%를 나타내었다. 8. 분만시 신생아체중은 임신중독증에서 합병되지 않은 예보다 적었는데 자간증에서는 376gm, 자간전증에서는 147gm이 적었고 자간증에서 평균체중은 2714gm이었다. 9. 자간증에서의 산후출혈은 21.2%에서 볼 수 있었다. 10. 혈색소치 10gm%이하에 속하는 예는 27.5%였고 기타 검사치는 자간증에 있어서 백혈구수가 평균 15700/㎝m, 혈구용적지수는 평균 36.5%, 혈중단백이 평균 4.9gm %, 크레아티닌 1.39gm%이었다. 11. 자간증 52예중 사산은 1예였다. 12. 자간증예의 평균재원기간은 4.2일이었다. Clinical features of toxemia of pregnancy are said to be variable depending on the geographic, social and some other factors. This study was undertaken on the people of Daejeon area. The material was 204 toxemia patients among 868 deliveries at Chungnam National University Hospital from Mach 1973 to the July 1976, and Following results were obtained. 1. The incidence of preeclampsia and eclampsia to the total deliveries were 17.5% and 5.9% each. 2. Age distribution was high at the both ends of reproductive age : below 20 and over 41 years group. Average age of toxemia was 26 years. 3. In preeclampsia and eclampsia, primigravidas were affected in 34.9% and 48. 1% each. 4. Seasonal distribution was high in spring especially in eclampsia(50%). 5. Most patients (73.6%) had taken no prenatal care. 6. Postpartum eclampsia was found in 17.3%. 7. Average durations of pregnancy in preeclampsia and eclampsia were 39.5 and 38.5 weeks each. 8. Deliveries with cesarean section was 11.8% in preeclampsia and 5.8% in eclampsia. Pitocin induction was done in 8.3% of toxemia. 9. Average birthweights of the deliveries with preeclampsia and eclampsia were 2943 gm. and 2714 gm. each, whereas 3090gm. in the deliveries without toxemia. 10. Postpartum hemorrhage in eclampsia was found in 21.2%. 11. Average laboratory examination values in eclampsia were as follows: hemoglobin 12.0gm.%; WBC 5700/㎝m .; hematocrit 36.5%; serum total protein 4.9g m.%; creatinine 1.39mg.%. 12. Stillbirth was encountered in only one case among 52 cases of eclampsia. 13. Average duration of hospital admission was 4.2 days in eclampsia.
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金吉子,文東烈,李成浩,李熙東 충남대학교 의과대학 지역사회의학연구소 1976 충남의대잡지 Vol.3 No.2
A case of cervical pregnancy in 34 year old, para 3 house-wife is presented with a brief review of literature.
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李熙東,文東烈 충남대학교 의과대학 지역사회의학연구소 1975 충남의대잡지 Vol.2 No.2
Birthweights are said to be variable according to the race, parity, age, socioecomic status and many other factors of their parents as well as duration of gestation and sex of the fetus. Features specific to the locality are, therefore, not to be underestimated. Observations on the birthweights in Daejeon area were made with the following results: 1. The mean birthweight for the 40 weeks was 3208.1±326.4 gm and it was 3258.1±428.8 gm for 39 through 41 weeks. 2. The birthweights were increasing with the parity of the mother, but somewhat decreasing for the multiparity of 4 or more. 3. Deliveries were most prevalent in the age group 26 to 30. 4. The birthweights were increasing with the age of the mother, but somewhat decreasing for the age group 41 to 45. 5. The mean birthweight for the male was 3286.±432.9 gm, while 3180.0 ± 437.8 gm for the female, the sexual difference being 106.9 gm.
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